KERIANN NICKOLA GRAY (NPI# 1023215670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023215670 |
Entity Type | Individual |
Full Name | KERIANN NICKOLA GRAY |
Credential | M.D. |
Practice Address |
200 Scenery Dr. State College PA 16801-5602 |
Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
Practice Telephone | 8142314560 |
Practice Fax Number | 8142316246 |
Mailing Telephone | 5702716144 |
Enumeration Date | 2007-06-28 |
Last Update Date | 2019-08-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
246232 | NY | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD456589 | PA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | MEDICARE | 464500 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Tallow Wood Dr, Clifton Park, NY 120652807 | 5182685060 | |
1300 Massachusetts Ave, Troy, NY 121801628 | 5182685060 | |
317 S Manning Blvd Ste 220, Albany, NY 122083909 | 5185256418 |
Street Address |
200 SCENERY DR. |
City | STATE COLLEGE |
State | PA |
Zip Code | 16801-5602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811973894 | Mary Amanda Jacobs | Dermatology | 200 Scenery Dr., State College, PA 16801-5602 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
Find all providers in zip 16801 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659340818 | James V Lieb | Internal Medicine | 1800 East Park Ave, Lance and Ellen Shaner Cancer Pavilion, State College, PA 16803-6797 | 2006-03-17 |
1295056182 | Sean Barton O'donnell | Internal Medicine | 1800 E Park Ave, Lance and Ellen Shaner Cancer Pavilion, State College, PA 16803-6709 | 2010-06-15 |
1437129814 | Edward P Balaban | Internal Medicine | 1800 E Park Ave, State College, PA 16803-6709 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
Find all providers with the same taxonomy |
City | STATE COLLEGE |
Zip Code | 16801 |
Please comment or provide details below to improve the information on KERIANN NICKOLA GRAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.